TEST BANK
|
,Chapter |1 |Chemical |neurotransmission
|MULTIPLE |CHOICE
1. A patient with depression mentions to the nurse, My mother says depression is a
| | | | | | | | | | | | |
chemical disorder. What does she mean? The nurses response is based on the theory that
| | | | | | | | | | | | | |
depression primarily involves which of the following neurotransmitters?
| | | | | | | |
a. Cortisol and GABA | |
b. COMT and glutamate | |
c. Monamine and glycine | |
d. Serotonin and norepinephrine | |
ANS: D
| |
One possible cause of depression is thought to involve one or more neurotransmitters.
| | | | | | | | | | | |
Serotonin and norepinephrine have been found to be important in the regulation of
| | | | | | | | | | | |
depression. There is no research to support that the other options play a significant
| | | | | | | | | | | | | |
role in the development of depression.
| | | | | |
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted in
| | | | | | | | | | | |
damage to the Broca area. Which evaluation does the nurse conduct to reinforce this
| | | | | | | | | | | | | |
diagnosis?
|
a. Observing the patient pick up a spoon | | | | | |
b. Asking the patient to recite the alphabet | | | | | |
c. Monitoring thepatients blood pressure | | | |
d. Comparing the patients grip strength in both hands | | | | | | |
ANS: B
| |
Accidents or strokes that damage Brocas area may result in the inability to speak (i.e.,
| | | | | | | | | | | | | |
motor aphasia). Fine motor skills, blood pressure control, and muscle strength are not
| | | | | | | | | | | |
controlled by the Broca area of the left frontal lobe.
| | | | | | | | | |
3. The patient diagnosed with schizophrenia asks why psychotropic medications are
| | | | | | | | |
always prescribed by the doctor. The nurses answer will be based on information that the
| | | | | | | | | | | | | | |
therapeutic action of psychotropic drugs is the result of their effect on:
| | | | | | | | | | | |
a. The temporal lobe; especially Wernickes area | | | | |
b. Dendritesand their ability to transmit electrical impulses | | | | | | |
c. The regulation of neurotransmitters especially dopamine
| | | | |
d. Theperipheral nervous system sensitivity to the psychotropic medications
| | | | | | | |
,ANS: C |
Medications used to treat psychiatric disorders operate in and around the synaptic cleft| | | | | | | | | | | |
and have action at the neurotransmitter level, especially in the case of schizophrenia, on
| | | | | | | | | | | | | |
dopamine. The Wernickes area, dendrite function, or the sensitivity of the peripheral
| | | | | | | | | | | |
nervous system are not relevant to either schizophrenia or psychotropic medications.
| | | | | | | | | | |
4. A student nurse mutters that it seems entirely unnecessary to have to struggle with
| | | | | | | | | | | | |
understanding the anatomy and physiology of the neurologic system. The mentor
| | | | | | | | | | |
would base a response on the understanding that it is:
| | | | | | | | | |
Necessary but generally for psychiatric nurses who focus primarily on | | | | | | | | |
a. behavioral interventions |
A complex undertaking that advance practice psychiatric nurses frequently use in
| | | | | | | | | |
b. their practice
| |
Important primarily for the nursing assessment of patients with brain traumacaused | | | | | | | | | |
c. cognitive symptoms
| |
Necessary for planning psychiatric care for all patients especially those | | | | | | | | |
d. experiencing psychiatric disorders
| | |
ANS: D |
Nurses must understand that many symptoms of psychiatric disorders have a neurologic
| | | | | | | | | | |
basis, although the symptoms are manifested behaviorally. This understanding
| | | | | | | | |
facilitates effective care planning. The foundation of knowledge is not used exclusively
| | | | | | | | | | | |
by advanced practice psychiatric nurses nor is it relevant for only behavior therapies or
| | | | | | | | | | | | | |
brain trauma since dealing with the results of normal and abnormal brain function is a
| | | | | | | | | | | | | | |
responsibility of all nurses providing all types of care to the psychiatric patient.
| | | | | | | | | | | | |
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by her
| | | | | | | | | | | | | | |
chronic depression? Which response is supported by research data?
| | | | | | | | |
a. Too much stress has been proven to cause all kinds of cancer. | | | | | | | | | | |
b. There have been no research studies done on stress and disease yet.
| | | | | | | | | | |
c. Stressdoes cause the release of factors that suppress the immune system. | | | | | | | | | | |
d. There appears to be little connection between stress and diseases of the body | | | | | | | | | | | |
ANS: C
| |
Research indicates that stress causes a release of corticotropin-releasing factors that
| | | | | | | | | |
suppress the immune system. Studies indicate that psychiatric disorders such as mood
| | | | | | | | | | |
disorders are sometimes associated with decreased functioning of the immune system.
| | | | | | | | | | |
Research does not support a connection between many cancers and stress. There is a
| | | | | | | | | | | | | |
significant amount of research about stress and the body. Research has shown that there
| | | | | | | | | | | | | |
are some connections between stress and physical disease.
| | | | | | | |
, 6. A patient who has a parietal lobe injury is being evaluated for psychiatric
| | | | | | | | | | | |
rehabilitation needs. Of the aspects of functioning listed, which will the nurse identify as
| | | | | | | | | | | | | |
a focus of nursing intervention?
| | | | |
a. Expression of emotion | |
b. Detecting auditory stimuli | |
c. Receiving visual images | |
d. Processing associations |
ANS: D
| |
Theparietal lobe is responsible for associating and processing sensory information
| | | | | | | | | |
that allows for functions such as following directions on a map, reading a clock, dressing
| | | | | | | | | | | | | |
self, keeping appointments, and distinguishing right from left. Emotional expression is
| | | | | | | | | | |
associated with frontal lobe function. Detecting auditory stimuli is a temporal lobe
| | | | | | | | | | | |
function. Receiving visual images is related to occipital lobe function.
| | | | | | | | | |
7. At admission, the nurse learns that some time ago the patient had an infarct in the
| | | | | | | | | | | | | | |
right cerebral cortex. During assessment, the nurse would expect to find that the
| | | | | | | | | | | | |
patient:
|
a. Demonstrates major deficiencies in speech | | | |
b. Is unable to effectively hold a spoon in the left hand
| | | | | | | | | |
c. Hasdifficulty explaining how to go about using the telephone
| | | | | | | | |
d. Cannot use his right hand to shave himself or comb his own hair | | | | | | | | | | | |
ANS: B
| |
The cerebral hemispheres are responsible for functions such as control of muscles.
| | | | | | | | | | |
The right hemisphere mainly controls the motor and sensory functions on the left side of
| | | | | | | | | | | | | |
the body. Damage to the right side would result in impaired function on the left side of
| | | | | | | | | | | | | | | | |
the body. The motor cortex controls voluntary motor activity. Brocas area controls
| | | | | | | | | | | |
motor speech. Cognitive functions are attributed to the association cortex.
| | | | | | | | | |
The right side of the bodys motor activity is controlled by the left cerebral cortex.
| | | | | | | | | | | | | |
8. A patient with chronic schizophrenia had a stroke involving the hippocampus. The
| | | | | | | | | | |
patient will be discharged on low doses of haloperidol. The nurse will need to
| | | | | | | | | | | | | |
individualize the patients medication teaching by:
| | | | | |
a. Including the patients caregiver in the education | | | | | |
b. Being careful to stress the importance of taking the medication as prescribed
| | | | | | | | | | |
Providing the education at a time when the patient is emotionally calm and
| | | | | | | | | | | | |
c. relaxed
Encouraging the patient to crush or dissolve the medication to help with | | | | | | | | | | |
d. swallowing
|
ANS: A |
|
,Chapter |1 |Chemical |neurotransmission
|MULTIPLE |CHOICE
1. A patient with depression mentions to the nurse, My mother says depression is a
| | | | | | | | | | | | |
chemical disorder. What does she mean? The nurses response is based on the theory that
| | | | | | | | | | | | | |
depression primarily involves which of the following neurotransmitters?
| | | | | | | |
a. Cortisol and GABA | |
b. COMT and glutamate | |
c. Monamine and glycine | |
d. Serotonin and norepinephrine | |
ANS: D
| |
One possible cause of depression is thought to involve one or more neurotransmitters.
| | | | | | | | | | | |
Serotonin and norepinephrine have been found to be important in the regulation of
| | | | | | | | | | | |
depression. There is no research to support that the other options play a significant
| | | | | | | | | | | | | |
role in the development of depression.
| | | | | |
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted in
| | | | | | | | | | | |
damage to the Broca area. Which evaluation does the nurse conduct to reinforce this
| | | | | | | | | | | | | |
diagnosis?
|
a. Observing the patient pick up a spoon | | | | | |
b. Asking the patient to recite the alphabet | | | | | |
c. Monitoring thepatients blood pressure | | | |
d. Comparing the patients grip strength in both hands | | | | | | |
ANS: B
| |
Accidents or strokes that damage Brocas area may result in the inability to speak (i.e.,
| | | | | | | | | | | | | |
motor aphasia). Fine motor skills, blood pressure control, and muscle strength are not
| | | | | | | | | | | |
controlled by the Broca area of the left frontal lobe.
| | | | | | | | | |
3. The patient diagnosed with schizophrenia asks why psychotropic medications are
| | | | | | | | |
always prescribed by the doctor. The nurses answer will be based on information that the
| | | | | | | | | | | | | | |
therapeutic action of psychotropic drugs is the result of their effect on:
| | | | | | | | | | | |
a. The temporal lobe; especially Wernickes area | | | | |
b. Dendritesand their ability to transmit electrical impulses | | | | | | |
c. The regulation of neurotransmitters especially dopamine
| | | | |
d. Theperipheral nervous system sensitivity to the psychotropic medications
| | | | | | | |
,ANS: C |
Medications used to treat psychiatric disorders operate in and around the synaptic cleft| | | | | | | | | | | |
and have action at the neurotransmitter level, especially in the case of schizophrenia, on
| | | | | | | | | | | | | |
dopamine. The Wernickes area, dendrite function, or the sensitivity of the peripheral
| | | | | | | | | | | |
nervous system are not relevant to either schizophrenia or psychotropic medications.
| | | | | | | | | | |
4. A student nurse mutters that it seems entirely unnecessary to have to struggle with
| | | | | | | | | | | | |
understanding the anatomy and physiology of the neurologic system. The mentor
| | | | | | | | | | |
would base a response on the understanding that it is:
| | | | | | | | | |
Necessary but generally for psychiatric nurses who focus primarily on | | | | | | | | |
a. behavioral interventions |
A complex undertaking that advance practice psychiatric nurses frequently use in
| | | | | | | | | |
b. their practice
| |
Important primarily for the nursing assessment of patients with brain traumacaused | | | | | | | | | |
c. cognitive symptoms
| |
Necessary for planning psychiatric care for all patients especially those | | | | | | | | |
d. experiencing psychiatric disorders
| | |
ANS: D |
Nurses must understand that many symptoms of psychiatric disorders have a neurologic
| | | | | | | | | | |
basis, although the symptoms are manifested behaviorally. This understanding
| | | | | | | | |
facilitates effective care planning. The foundation of knowledge is not used exclusively
| | | | | | | | | | | |
by advanced practice psychiatric nurses nor is it relevant for only behavior therapies or
| | | | | | | | | | | | | |
brain trauma since dealing with the results of normal and abnormal brain function is a
| | | | | | | | | | | | | | |
responsibility of all nurses providing all types of care to the psychiatric patient.
| | | | | | | | | | | | |
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by her
| | | | | | | | | | | | | | |
chronic depression? Which response is supported by research data?
| | | | | | | | |
a. Too much stress has been proven to cause all kinds of cancer. | | | | | | | | | | |
b. There have been no research studies done on stress and disease yet.
| | | | | | | | | | |
c. Stressdoes cause the release of factors that suppress the immune system. | | | | | | | | | | |
d. There appears to be little connection between stress and diseases of the body | | | | | | | | | | | |
ANS: C
| |
Research indicates that stress causes a release of corticotropin-releasing factors that
| | | | | | | | | |
suppress the immune system. Studies indicate that psychiatric disorders such as mood
| | | | | | | | | | |
disorders are sometimes associated with decreased functioning of the immune system.
| | | | | | | | | | |
Research does not support a connection between many cancers and stress. There is a
| | | | | | | | | | | | | |
significant amount of research about stress and the body. Research has shown that there
| | | | | | | | | | | | | |
are some connections between stress and physical disease.
| | | | | | | |
, 6. A patient who has a parietal lobe injury is being evaluated for psychiatric
| | | | | | | | | | | |
rehabilitation needs. Of the aspects of functioning listed, which will the nurse identify as
| | | | | | | | | | | | | |
a focus of nursing intervention?
| | | | |
a. Expression of emotion | |
b. Detecting auditory stimuli | |
c. Receiving visual images | |
d. Processing associations |
ANS: D
| |
Theparietal lobe is responsible for associating and processing sensory information
| | | | | | | | | |
that allows for functions such as following directions on a map, reading a clock, dressing
| | | | | | | | | | | | | |
self, keeping appointments, and distinguishing right from left. Emotional expression is
| | | | | | | | | | |
associated with frontal lobe function. Detecting auditory stimuli is a temporal lobe
| | | | | | | | | | | |
function. Receiving visual images is related to occipital lobe function.
| | | | | | | | | |
7. At admission, the nurse learns that some time ago the patient had an infarct in the
| | | | | | | | | | | | | | |
right cerebral cortex. During assessment, the nurse would expect to find that the
| | | | | | | | | | | | |
patient:
|
a. Demonstrates major deficiencies in speech | | | |
b. Is unable to effectively hold a spoon in the left hand
| | | | | | | | | |
c. Hasdifficulty explaining how to go about using the telephone
| | | | | | | | |
d. Cannot use his right hand to shave himself or comb his own hair | | | | | | | | | | | |
ANS: B
| |
The cerebral hemispheres are responsible for functions such as control of muscles.
| | | | | | | | | | |
The right hemisphere mainly controls the motor and sensory functions on the left side of
| | | | | | | | | | | | | |
the body. Damage to the right side would result in impaired function on the left side of
| | | | | | | | | | | | | | | | |
the body. The motor cortex controls voluntary motor activity. Brocas area controls
| | | | | | | | | | | |
motor speech. Cognitive functions are attributed to the association cortex.
| | | | | | | | | |
The right side of the bodys motor activity is controlled by the left cerebral cortex.
| | | | | | | | | | | | | |
8. A patient with chronic schizophrenia had a stroke involving the hippocampus. The
| | | | | | | | | | |
patient will be discharged on low doses of haloperidol. The nurse will need to
| | | | | | | | | | | | | |
individualize the patients medication teaching by:
| | | | | |
a. Including the patients caregiver in the education | | | | | |
b. Being careful to stress the importance of taking the medication as prescribed
| | | | | | | | | | |
Providing the education at a time when the patient is emotionally calm and
| | | | | | | | | | | | |
c. relaxed
Encouraging the patient to crush or dissolve the medication to help with | | | | | | | | | | |
d. swallowing
|
ANS: A |
